So we talked about a noncontrast
head CT, right? That's one
of the orders that we said. That's a priority.
So, you're going to transport
Mr. Johnson for a noncontrast head CT,
with continuous cardiac monitoring,
pulse, oximetry, and oxygen.
So what this means is you and Mr. Johnson
are going to be traveling, right? So, the
gurney, we'll put the bedrails up,
and you're wheeling with him. The reason
a nurse is going to go with
him is because he's not stable, right?
We know that he's in atrial fib
and we know he's shown some neuro changes.
This isn't a patient that should go with a
tech or just with someone who's transporting.
This patient, Mr. Johnson, deserves
a nurse's constant assessment with him.
Now, let's talk about what the purpose of
this test is in diagnosing an acute stroke.
A noncontrast CT might identify
the early signs of a stroke,
but most importantly, it'll rule out an
intracerebral hemorrhage or some other cause
for Mr. Johnson's symptoms, like,
maybe it's a tumor. So a CTA
has this rapid injection of IV contrast
and shows you these CAT scan
images. It gives you even more detail, but
it's not often readily available.
So, usually, it will be a noncontrast head CT.
So why are we taking Mr. Johnson there?
Well, because of the symptoms that
he's showing us, we think it's likely a stroke.
But we want to rule out that he has an
intracerebral hemorrhage, or maybe
something unusual, like a tumor that
just now started to exhibit these symptoms.
So, that's why we're going,
and you're going with him to keep
a very close eye on him.
Okay. So, we're back from CAT scan,
but let's review, kind of, the steps
that we've gone through. Mr. Johnson
started showing symptoms at home.
His wife knew how to do the FAST screening.
She realized she needed to call 911.
She called 911. He was transported to the
ER. The ER nurse got report from the
paramedics, and they knew right away that
they needed to get him to CAT scan.
Collaborated with a healthcare professional,
and took you right
to CAT scan. You went with him because he
was unstable with his -- worried about
blood pressure, oxygenation, and his rhythm
because he was in atrial fib, and
he had all of those neuro symptoms. So,
you transported, went with him,
stayed with him during the test, came back to
his ER bay. Now we've got the results
of the CAT scan.